| Kelly J Hwang Dds Inc | |
|
11385 Poway Rd Ste 103 San Diego CA 92128-5600 | |
| (858) 486-8611 | |
| (858) 486-1099 |
| Full Name | Kelly J Hwang Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 11385 Poway Rd Ste 103, San Diego, California |
| Authorized Official Name and Position | Kelly J Hwang (PRESIDENT) |
| Authorized Official Contact | 8584868611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Hwang Dds Inc 757 Poppy Rd San Marcos CA 92078-6905 Ph: () - | Kelly J Hwang Dds Inc 11385 Poway Rd Ste 103 San Diego CA 92128-5600 Ph: (858) 486-8611 |
| NPI Number | 1477068930 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477068930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61930 (California) | Primary |
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